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04/18/2013 11:49 2093344684 #5032 P.011 /020 <br /> Mop— ITNUIED PROGRAM CONSOLIDATED FOR19 <br /> UNDERGROUND STORAGE,TANK <br /> 1. UDC MONITORING IS P`XR <br /> Ll i-c0NnNL*vsEL=,RomcmoNffoRING 0 2.MOAT AND CHAIN ASSEMBLY 3.15LECTRONICSTAND-ALONB 490-56 <br /> 0 4.NO DISPENSERS []99.OTHER(Specify): - <br /> PANEL MANUFACTURER: 1z .. <br /> LEAK SENSOR MANUFACTUREIC' f(s): 490-X <br /> n TIE�RkSA&WMT -4wzf <br /> DEI=- ION OF A LEAK INTO RTHE UDDr TR I <br /> - ERS AUDIBLE AND VISUAL ALARMS a.YES EJ b.NO <br /> UDC LEAK ALARM TRICGFM AYJTOMAnC PUA4p SHUTDOWN &YES b.NO 490-0. <br /> FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRkG(AMS AUr()MAnC PUMP SHUTDOWN. Q�-YES b-NO 490,61 <br /> UDC MONITORING STOP$THE FLOW OF PRODUCT AT THE DjsPENsER. El IL Yes All NO 49042 <br /> 2.UDC C'ONMUCMOIN IS SINGLP-WALLED El 2.DOUBLE-WALLED —60.0 <br /> UDC INTER TITAL SPACE IS MONITORED W nj--LI-9-UM—QAnEKURE 0 3.VACUUM. <br /> A LEAK WITIEN THE SECONDARY CONTAMONT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALAR,?vM 0 a.YEs <br /> Lj 1. ELD TV-SMG.- THIS FACILITY HAS BEEN NOT9M—BY THWE S <br /> LEAK <br /> MUST BE_PERFORMED. PERIODIC ELD IS <br /> SPILL 13UCKM ARE TESTED ANNUALLY. <br /> Tbp followft records an kept for this twAiny: <br /> Q SIR twbng remft*4 supvxum doaxamotion r==). -W61 T-*gn%ft MSUhS(and SWPOrting dOMM9nWiOn=014S), 4%0, <br /> Q ATG Testing nmft(and mworft documentation rowrd4 49ow ronvston pro%cft 60.&y kp 4ftft <br /> VW4upuumt maintenance and calibation records, 49"a <br /> Now iaz' <br /> LpgRA 0k4quired)0Mk <br /> 7 <br /> CA:C3 AT -HANDBOOK FOR TANK OWNERS MANUAL AND <br /> MCB TION:-UNDERSTANDING AUTOMATIC TANK GAUGM SYSTEM-4Mft <br /> OTHER(Specify):mmma <br /> training will hwhuk,bin is not 11miU4 to.tL-following: <br /> • The facday employees role with 1CpZd to the monitoring opipment as spowficd in this usT hinuftoft pim <br /> • T'hO f3cflitY MOOYOe's role with rcoard to Spills&ad Overfills=specified in the UST Response plan <br /> am attached to this plan,4w7i <br /> The USI OMMUPermor is rgqwtsible for anring that 1)the dWY/rOutim UST Monitoring activities and maintenance If UST leak detetion OVOnent covered by <br /> this Plan*CcuM 2)aft conditions tha m4licaft a possible rdeaso am investiPU4 ad 3)all monitoring moords me maiabdned prope <br /> NAW <br /> 4W-&W-1 . 2hh 4go-74 TITLE 49&75 <br /> conditions th2t need fonow4V action. <br /> APPLICANT SI -o--m DATE: <br /> (rimy <br /> APPLICANT ITU.E: 4W79 <br />